Prac Questions - histopath Flashcards

1
Q

Which of the following post mortem findings is
most likely to cause an animal to die of shock
a. Ruptured aorta
b. Neoplasm in the brain
c. Rupture in a large lymphatic vessel
d. Multiple emboli in the lungs

A

Ruptured aorta

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2
Q

You post mortem a cat. Its thoracic cavity contains large volumes of
slightly yellow but transparent, watery fluid. No fluid accumulation was
noted elsewhere. i.what is the diagnosis? ii. Possible cause
• i. active hyperaemia ii. Inflammation
• i. ischaemia ii. Shock
• i. oedema ii. Low protein diet
• i. oedema ii. Tumour around mediastinal lymphatic vessels

A

• i. oedema ii. Tumour around mediastinal lymphatic vessels

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3
Q

Why is a small volume of haemorrhage in the
brain potentially fatal?
• The brain lacks blood vessels and so cannot form collateral circulation
• The brain lacks phagocytic cells and so cannot absorb and recycle iron lost in haemorrhage
• The brain has very limited capacity to expand to accommodate for extra material
• Blood in the cerebrospinal fluid can decrease its normal flow and cause it to accumulate

A

Blood in the cerebrospinal fluid can decrease its normal flow and cause it to accumulate

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4
Q

Which type of cell does not typically undergo
hyperplasia?
• haematopoietic stem cell
• intestinal epithelial cell
• mature cardiomyocyte
• hepatocyte

A

mature cardiomyocyte

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5
Q

What is a possible outcome of cell ageing?
• Senescence
• Apoptosis
• Neoplasia
• All of the above

A

All of the above

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6
Q

Which ONE of the following statements regarding
accumulation of oxygen-derived free radicals within cells is
NOT CORRECT?
• Formation of protein-protein disulphide bonds
• Single-stranded breaks in DNA
• Lipid peroxidation of membranes
• Inactivation of multicatalytic proteasome complex

A

Inactivation of multicatalytic proteasome complex

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7
Q

Which ONE of the following statements regarding the consequences of decrease
intracellular ATP in ischaemic cells is NOT CORRECT?
Decreased intracellular ATP induces:
• Reduced activity of the plasma membrane energy-dependent Na
pump
• Increased anaerobic glycolysis
• Reduction of K+ efflux
• Rapid depletion of glycogen stores

A

Reduction of K+ efflux

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8
Q

Which enzymes are the central mediators of
apoptosis?
• Caspases
• Lysozyme
• Peroxidases
• NADPH oxidase

A

Caspases

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9
Q

You post mortem a dog and there is a diffuse yellow
discolouration of the subcutaneous fat, the sclera and the
intima of the great blood vessels.
• Amyloidosis
• Lipofuscinosis
• Jaundice
• Haemosiderosis

A

Jaundice

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10
Q

Which one of the following statements
regarding amyloidosis is NOT correct?
• The deposition of amyloid fibril proteins of the AL type is associated
with certain forms of plasma cell tumours
• AA fibrils are derived by proteolysis from the serum amyloid-associate
(SAA) protein synthesised in the liver
• AL protein accumulation is observed in chronic inflammatory
conditions
• Beta-amyloid protein constitutes the core of cerebral plaques found
in aged dogs

A

AL protein accumulation is observed in chronic inflammatory
conditions

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11
Q

Shock (cardiovascular collapse) occurs when blood pressure is inadequate
for tissue perfusion. List TWO (2) possible causes of shock.(2 marks)

A

Any of the answers as below gets one mark:
• Rapid loss of large volumes of blood (haemorrhage acceptable)
• Loss of large volumes of fluid (diarrhea, vomiting, burns)
• Cardiac pathology
• Blood maldistribution
• Systemic allergic reaction
• endotoxaemia

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12
Q

Briefly define the phenomenon of infarction.
(1 mark)

A

Tissue NECROSIS (0.5) due to reduction in blood supply (0.5)

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13
Q

Outline THREE (3) factors influencing the development and
consequences of infarction. (3 marks)

A

Outline means “give a summary of…” “general description”…it’s not
just listing.
• Site of infarct: most severe in tissues susceptible to infarction and
vital for survival (CNS, myocardium, kidney)
• Anatomy of the blood supply (0.5): tissue with end artery type of
blood supply without collaterals (spleen, kidney) more prone to
infarction
• Rate of vessel occlusion: chronic occlusion less likely causing
infarction due to formation of collateral vessels

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14
Q

Indicate TWO (2) possible causes of the oedema secondary to increased hydrostatic pressure. (1 mark)

A

Just oedema secondary to increased hydrostatic pressure!
0.5 marks/each correct answer:
• 1) obstruction of veins
• 2) cardiac failure

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15
Q

List THREE (3) causes of metastatic calcification in veterinary
medicine

A

1 mark/each cause:
• Chronic kidney disease
• Toxicosis with vitamin D
• Consumption of rodenticide containing cholecalciferol
• Neoplasia of parathyroids
Also acceptable: diets with excess of phosphorus, PTH-like factors
secreted by non-endocrine tumours

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16
Q

Regarding apoptosis:(total 8 marks)
a. Give TWO (2) examples of apoptosis in physiological situations.
(2 marks)

A

1 mark/each example:
• Destruction of cells during embryogenesis
• Hormone-sensitive cells deprived by hormones
• Cell loss in proliferating cell populations
• Elimination of self-reactive lymphocytes
• Death of lymphocytes or neutrophils that have served their purpose

17
Q

b. Briefly describe the extrinsic pathway of apoptosis.(5 marks)

A

• Engagement of plasma membrane death receptors, TNFR and Fas
• When the ligand binds to Fas, three or more molecules of Fas are
brought together, binding to an intracytoplasmic protein called
FADD (or TRADD)
• This leads to the activation of caspases
• DNA cleavage

18
Q

c. List TWO (2) disorders associated with defective apoptosis.
(1 mark)

A

1 mark/each disorder
• Cancer
• Autoimmunity

19
Q

List and describe the THREE (3) mechanisms of increased vascular
permeability during acute inflammation.
(6 marks)

A

Not just listing but also describing. Each mechanism gets 2 marks.
• Opening of junctional complexes between endothelial cells:
contraction and reorganization of the cytoskeletal proteins due to
histamine
• Direct injury to endothelial cells: caused by thermal injury, bacterial
toxins, neutrophils; leading to detachment of endothelial cells
• Increased transcytosis: increased numbers of intracellular vesicles or
caveolae mediated by VEGF

20
Q

During chronic inflammation, macrophages can be activated in two
different ways depending on the inciting agent. Describe the classical
activation of macrophages.(3 marks)

A

• Induced by bacterial products binding TLRs and IFN-γ released by
Th1-lymphocytes
• Macrophages produces ROS and NO
• Important for microbicidal action